## UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) TRUSTEES’ REPORT AND FINANCIAL STATEMENTS for the year ended 31 March 2023 Charity Registration No. 1158843 (England & Wales) | Scottish Charity No. SC050277 | Company Registration No. 08644039 (England and Wales) )) ii, TABLE OF CONTENTS Introduction from Chairman of Trustees | 4-5 The year in numbers | 6 Clinical | 7-8 Support | 9 Awareness | 10-11 Marketing: website, social media and press | 12 Volunteers | 13 Fundraising | 14-15 UKST’s plan for the future: 2023-4 | 16 Finance & Governance | 17-18 Legal & administrative information | 19 Independent Auditors’ Report | 20-21 Financial statements | 22-37 3 ## WELCOME FROM OUR CHAIRMAN Thank you for taking the time to read UKST’s Annual Report and Financial Statements. This financial year was a period of sustained growth for UKST, as the charity continued to recover from the impact of the Covid-19 pandemic.There has been a gradual return to almost pre-pandemic staffing levels in fundraising and marketing, which have helped drive uptake in our support services and volunteer base. Our Support Nurses supported 1,394 families over the last twelve months; providing support to sepsis survivors and their immediate circles, as well as those who have tragically lost a loved one to the condition. After some successful online fundraising challenges, such as the 10K Steps in June 2022, we launched our inaugural Sepsis Savvy national walk in March 2023. The event consolidated our impact and volunteer activity in Wales, Scotland and England, and we expect to expand to other UK locations in 2024. The ITV1 documentary ‘Jason & Clara: In Memory of Maudie’, produced by ITV Wales with UKST Ambassador, Jason Watkins, aired on 30 March 2023. While the subsequent uptake in UKST support services will be captured in next year’s report, pre-coverage in the media was instrumental in strengthening our resolve to provide more support to patients and their relatives, through the provision of accessible information and the development of support networks, including for families tragically bereaved by sepsis. We also remained committed to our other key aims of educating healthcare professionals, health commissioners, government organisations and the wider public to ‘think’ sepsis (and severe infection); recognise the condition swiftly, and ensure that it is treated as an emergency, whilst maintaining a responsible stance on the use of antimicrobials; and lobbying the Government to ensure that the infrastructure is in place to support hospitals and other healthcare organisations in delivering exemplary sepsis care. ## Making a difference The UKST team has had a busy year, working to raise awareness, provide support and help educate healthcare professionals about sepsis, in an effort to end preventable deaths. 245,000 people are affected by sepsis in the UK each year, with at least 48,000 people losing their lives in sepsis-related illnesses. Awareness Raising awareness of sepsis remained a critical and life-saving activity for UKST. We launched a new marketing campaign called Sepsis Voices, where case studies aimed to reflect the diversity of sepsis, both in terms of affected demographics, but also in terms of symptom presentation. Our website had over 2.5 million page views, whilst we saw 974 new ‘Sepsis Savvy’ registrations (181 orgs, 236 individuals and 557 schools). Our social media channels have seen a significant increase in engagement, with Facebook page visits up 190.3% and Instagram reach up 234.9% compared to the previous period. We also launched a new podcast, ‘Sepsis Voices with Dr Ron’ in March 2023. ## Support We supported 1,394 people in 2022-3; of these, 766 were survivors and their families, and 226 were those sadly bereaved. We hosted 94 online support groups, as well as 31 face-to-face groups. These Support Nurse-led activities were supported by our peer support Facebook group, as well as the suite of resources on our website. 4 **----- Start of picture text -----**
Pictured overleaf: UKST Joint CEO Sarah Hamilton-Fairley after presentation at St Helen’s and St Katherine’s
School near Abingdon; Pictured above: UKST Founder & Joint CEO Dr Ron Daniels at the Jason Watkins
premiere, with Jason Watkins, Clara Francis and Child Bereavement UK Chief Executive, Ann Chalmers
**----- End of picture text -----**
## Clinical We trained 19,782 healthcare professionals with our e-learning tools. ## Fundraising Our total income was £1,555,530. We cannot thank enough the many people and families who fundraised for us in 2022-3; people who climbed mountains, held bake sales, left us a legacy in their will, or supported us with regular direct debit payments. We would also like to express our gratitude to our corporate partners and other companies who have supported us over this period, providing access to their office space, matched funding, marketing expertise and more. tal in helping us get others to ‘Just Ask: Could it be sepsis?’; whether they’ve shared their own story through Sepsis Voices, given life-saving talks in their community, helped with support groups, or lent us their voices at cheer stations for events such as the London Landmarks Half Marathon. With the knowledge that we have such wonderful people supporting us in our life-saving mission, we look forward to further growth in 2023-4. We are determined to save lives and improve outcomes for sepsis patients and their families. Thank you for your support in 2022-23; with your ongoing help we’ll continue to change lives for the better. Yours sincerely, The combination of our supporters’ incredible generosity, and prudent financial management, resulted in a surplus of £266,570. Our current reserves safeguard us against ongoing economic challenges and are a springboard from which we can make future strategic investments. Mark Stock Chairman of Trustees Finally, I’d like to celebrate the crucial contribution made by our 56 active volunteers. They are a key part of the UKST family and have been instrumen- 5 ## THE YEAR IN NUMBERS **19,782 healthcare 223,222 professionals trained users via e-learning reached 3,068,409 2,530,219 views users 621,868 website users reached** **1,347 volunteer 138,835 awareness hours materials distributed** **£1.5m total income raised in year** **1,394 families supported** **... with a reach of 361,250 students and staff** **236 individuals 181 organisations 577 schools...** 6 ## CLINICAL Blackpool Hospital staff posing with the pilot project ‘Just Ask’ literature ## ED&I resource review We have conducted a full Equality, Diversity and Inclusion review of all our resources. We are working on strategy to improve the reach of our messaging so that these are more accessible to those who may experience health inequality. We will continue our work in this area throughout 2023-24. ## Hospital pilot project A six-month pilot will see patients, at five UK hospitals being discharged with medication, given a ‘Just Ask’ leaflet information in their TTOs. A unique QR code will enable us to track the long-term impact of this awareness initiative. The Trust already is starting to support people who have received our leaflets from this pilot project. ## Infection Management Coalition The Infection Management Coalition held a roundtable discussion with NHS England and other stakeholders in early 2023. We were subsequently asked by the NHS to develop implementation guidance and identify Vanguard sites, as they were fully engaged with the recommendations but did not have the infrastructure or resource to directly assess. We have identified North Bristol NHS Trust as an acute sector Vanguard and Central and Northwest London Community Trust as a community sector Vanguard. Projects in these Trusts are in the planning stages. In November 2023, we are holding a further roundtable at The King’s Fund’s annual conference. ## Neutrocheck project In our last report, we detailed how UKST was providing expert clinical input into an NIHR-funded research study, evaluating a device intended for use in the home to measure neutrophil count (a subgroup of white blood cells that are heavily impacted by chemotherapy), together with lactate (a biomarker indicating severity of acute illness). “We have found an overall increase in awareness of sepsis (knowledge and care) in our professional workforce and stakeholder groups – patients, carers, visitors and many more. Our use of the toolkits continues to provide a solid foundation to work at George Eliot NHS Trust (Nuneaton) and supports optimal outcomes through the use of ratified documents. Our organisation continues to work to improve patient care and feels supported by UKST to enable outcomes. We have received diverse assistance from UKST in the form of advice, communication, toolkits, storytelling and much more. We would recommend UKST resources to guide practice and best clinical outcomes.” - ## **George Eliot Hospital NHS Trust** ## Toolkits The Sepsis 6 guidelines developed by UKST are used in 40 countries around the globe, including in close to 100 hospitals in the UK. UKST has since received additional funding to support the delivery of a Delphi (consensus building) project with national level stakeholders. These toolkits are a best practice guide, and provide opportunities to improve sepsis patient outcomes, evinced by the George Eliot Hospital NHS Trust 7 in Nuneaton. After data collection and quarterly reporting identified areas for improvement in sepsis care, the Trust ran a month-long initiative in September 2022, using UKST toolkits and other charity resources. Melissa Mead introduced Dr Ron Daniels to Professor Tony Kelly, NHS National Clinical Advisor Maternity and Neonatal Safety Improvement. He advised that a new national maternal early warning score is set to be released in Q3 of 2023. He has asked, on behalf of the NHS, that we collaborate to align our sepsis clinical tools to this new early warning score. ## Education & training Our five e-learning modules for health professionals and care workers – developed in partnership with Premier IT – were CPD-accredited in January 2023 in line with goals outlined in our last report. In total, 19,782 licences were sold in the last financial year, with a post-completion survey included following the last update in November 2022. 27 users completed the survey between November 22-March 23, with 100% of respondents agreeing that ‘there was the right amount of detail’ in the e-learning material. 37% claimed ‘I learnt a lot’, 40% said ‘I learnt some new things’, and 22% felt ‘It refreshed my current skills and knowledge and confidence’. 0% of respondents agreed with the statement ‘I didn’t learn anything new’, with 85% of respondents agreeing that the module was ‘interesting and well-designed’. ## Child deaths from infection and sepsis Dr Daniels has been working with the National Child Death Overview team this year. One of the two thematic reports for 2023 will be around child deaths because of or contributed to by infection and sepsis. Timing for publication of the report has not yet been finalised but is expected by the end of 2023. ## Marie Curie collaboration UKST and the end-of-life charity Marie Curie have collaborated on a clinical tool that will help ensure vulnerable patients continue to receive the best care possible. The clinical tool maps the Sepsis 6 Care Pathway for use in community settings and is designed for use by Marie Curie Nurses caring for people at home. The tool has been supported by the production of a poster which encourages the use of The Sepsis 6 Care Pathway in community settings. These toolkits are available to be used by all cancer and palliative care hospices within the UK and are accessible via the UKST website: sepsistrust.org/ professional-resources/our-nice-clinical-tools/mariecurie-the-uk-sepsis-trust UKST has provided support to families like Kamaldeep Sandhu (pictured left), who tragically lost her brother Rick Singh Flora to sepsis. We have also provided support to sepsis survivors like Karen Lillywhite (pictured right), who has even gone on to set up her own face-to-face support group as a Volunteer. 8 ## SUPPORT **“The support group has been an absolute lifeline for me.”** - Jonathan Cope, who lost his wife Cheryl to sepsis in 2016 support 226 people (35 more than in 2021-2), with the ITV1 documentary ‘Jason & Clara: In Memory of Maudie’ anecdotally contributing to greater awareness about our bereavement support services, in addition to more frequent social media promotion. ## Helpline/Contacts The UKST helpline provides information and support to anyone affected by sepsis. The service is delivered by our paid nursing support team – all of whom have considerable experience in caring for patients with sepsis and critical illness. All are registered with the Nursing and Midwifery Council (NMC) and meet their revalidation criteria, enabling them to stay qualified, supported and develop professionally. The online bereavement groups are also hosted weekly via Zoom. ## Face-to-face Support Groups UKST volunteers help supplement the provision of online recovery groups, with seven active face-toface sessions across the UK. While attendance at these groups is significantly lower than the online meetings, there is limited use of charity resources to facilitate these meetings and they are a great way for volunteers to make a difference in their local communities. If calls are not answered live, service users are encouraged to leave a voicemail, with a return call being booked for that same day if possible. Service users can also schedule a call at their convenience through the UKST website. ## Email support The Support Nurses also provide support to sepsis survivors, their families, and the bereaved, by email. Service users can access support through Multi-modal channels which makes them more accessible help make our services more accessible e.g. to the deaf and/or hard of hearing. Attendance will continue to be monitored on an ongoing basis throughout 2023-4, to safeguard against possible reputational damage that may arise from poor attendance. ## Facebook group Online Recovery Support Groups Support Nurses lead the Online Recovery Support Groups, supporting 240 people in their recovery journeys in 2022-3. These are relaxed, informal sessions hosted weekly via Zoom and work on a model of peer support. By sharing personal experiences, sepsis survivors learn that they are not alone. Friends/family members are also encouraged to attend, which can help manage recovery expectations and prevent relationship breakdown. Feedback indicates that attendees greatly appreciate the social interaction and emotional assistance. Online Bereavement Support Groups Bereavement support services have seen significant uptick over the last financial year. We have helped The Facebook group is another peer support group which allows members to connect with one another. It is moderated by the Support Nurses. The group was attached to the main Facebook page in January 2023 and has grown significantly as a result – serving as many individuals’ first point of contact with the charity. UKST’s Facebook peer support group had nearly 700 members last report, this has now more than doubled in size to 1,589 members as of 31 March 2023. ## Legal support UKST continues to work with a legal panel. This allows the charity to signpost individuals who wish to pursue complaints or clinical negligence claims to the experts, where and when appropriate. 9 ## AWARENESS Sepsis Savvy As of 31 March 2023, our Sepsis Savvy awareness programme had 862 people, 452 organisations, and 905 schools signed up – with just over 1,000,000 pupils and staff. There were 974 new sign ups in 22-23 (181 orgs, 236 individuals and 557 schools). Sepsis Savvy-related webpages were viewed 48,426 times in 2022-3, with the campaign video reaching 8,382 views by 31 March 2023. ## Schools Resources We attended the National Education Show in Wales to introduce our ‘Resources for Schools’ initiative encouraging schools to sign up to access our free lesson plans and other resources. We have also further developed our relationships with Cardiff Council, Dwr Cymru (Welsh Water), University of Third Age and Women’s Institute to roll out ‘Sepsis Savvy’ to their staff and members. ## Hannah Brown’s story As a continuation of our Sepsis Savvy work in the farming community, farmer Hannah Brown’s story was turned into a sepsis awareness video with help from her family and friends, and our ongoing corporate supporter, Ark Media Productions. We are most grateful to everyone involved. In March 2023, the production triumphed at the Charity Film Awards, winning the People’s Choice award. UKST’s grateful to have had the opportunity to help Hannah’s family in creating a life-saving legacy for the 26-yearold, who tragically died of sepsis in 2021, leaving behind her fiancé Ben Richardson, and baby daughter, Millie. The success of the production has enabled us to develop a partnership with NFU Mutual, with plans to deliver further life-saving messaging to the farming community in 2023-4. ## UKST Partner Network We are working with this group to develop the Sepsis Champions model: consisting of UKST ambassadors within partner organisations who raise awareness across their networks and feedback on our resources. Relationships have directly led to fundraising and Charity of the Year nominations. ## Sepsis Voices Following the appointment of a social media specialist in January 2023, the charity launched a new campaign called ‘Sepsis Voices’. This is a collection of experiences that reflect the variety and diversity of people affected by sepsis. By sharing their stories, contributors are raising vital 10 awareness. Sepsis Voices is also a forum for support, with those affected able to seek comfort from others who can relate to their experiences. Mandi Leonard shared her husband Chris’ Sepsis Voices story with us, and this was the springboard from which we launched an awareness campaign about the sepsis risk among cancer patients for World Cancer Day on 4th February 2023. This campaign performed exceptionally on social media, with 31K Twitter impressions compared to a daily average of 980 between January-December 2022. There are further opportunities for awareness-day hooked marketing campaigns, and charity partner collaborations. ## Sepsis Voices with Dr Ron The Sepsis Voices campaign was also supported by the launch of a podcast ‘Sepsis Voices with Dr Ron’ in March 2023; the first episode featuring UKST Ambassador Jason Watkins was downloaded 220 times without any paid promotion. ## Ambulance Signage As of 31 March 2023, nearly all Ambulance Trusts in England had adopted UKST signage, thanks to the ongoing relationship development by UKST Ambassador Melissa Mead (pictured below). We worked with Improvement Cymru and NHS Wales to produce a World Sepsis Day podcast. In partnership with the Universities of Cardiff, Bangor, South Wales and Swansea as well as the local Health Boards we have provided sepsis awareness seminars to educate future doctors, nurses and health professionals. ## Scotland We remain a member of the Scottish Parliament Cross Party Group on health inequalities. We have maintained relationships with third-party organisations such as Voluntary Health Scotland and the Queens Nursing Institute Scotland to help build our network and visibility among potential service users in Scotland. ## Lifesaving-partnerships We partnered with Mini First Aid, who were featured on BBC 1 Dragons’ Den in 2021, securing investment from Sara Davies MBE. Mini First Aid train over 1,000 people every week across the UK, and are the UK’s largest paediatric first aid company, with over 70 franchises across the UK. The charity has given their trainers specialist sepsis training, via online courses and through sessions at their annual conference. ## Wales We have met with Members of Welsh Assembly Government and been assured that ‘the deteriorating patient and sepsis’ is to be a key national healthcare focus and are planning an awareness event at The Senedd for late 2023. This will help us to introduce members of government to those affected by sepsis so that it remains a key health priority in Wales. We have also partnered with St Andrew’s First Aid who are using our awareness resources in their teaching and community visits. St Andrew’s visit some of the most deprived areas of the country and can reach over 20,000 people, delivering our message to those who might be experiencing health inequality. If you’d like to partner with us in 2023 onwards, email partnerships@sepsistrust.org 11 ## Website The UKST website was accessed by 621,868 users during this financial year. We had 2,530,219 page views, with the average user spending 1.32 minutes on our site. We saw a significant uptick in traffic on 22nd September 2022 with 12,000 views on the Farming Awareness Campaign in one day thanks mostly to Facebook advertising; we also saw a spike between 5th –8th December 2022, due to Google Ads. There was another increase in web traffic on 30th March 2023 – which was when ‘Jason & Clara: In Memory of Maudie’ aired. The most popular sections of the website beyond the homepage were ‘About Sepsis’, clinical tools, information about Post Sepsis Syndrome, and our patient stories. ## Social Media Facebook saw a significant increase in engagement and reach in the period of 1 April 2022 – 31 March 2023 compared to the previous calendar period. We reached 3,068,409 users on Facebook (up 12.8%); had 50,230 Facebook Page visits (up 190%); and attracted 2,350 new Facebook followers (up 108%). On Instagram, we reached 223,222 users (up 234.9%), gaining 1,352 Instagram followers. UKST only began tracking social media performance with the appointment of a social specialist in January 2023, which means that analytics are not available for Twitter for the aforementioned time period, and only partial data is available for LinkedIn. Between the period of 5 June 2022 and 31 March 2023, we had 78,571 impressions on LinkedIn; 1,893 page views; 886 unique visitors; and gained 538 ## MARKETING: WEBSITE, SOCIAL MEDIA AND PRESS followers taking us to 2,166 in total. Our content had 2,966 reactions, gained 60 comments and got 657 reposts. With the implementation of a campaign plan, and social calendar, we anticipate further digital growth in 2023-4. ## Accessibility of digital content As of January 2022, UKST began captioning all multimedia content as standard practice to improve the accessibility of its content for users who are audibly impaired. This is part of the charity’s ongoing commitment to making its resources more accessible, and will continue to be a priority as we look to redesign the UKST website in 2023-4. ## Press UKST had several PR wins over the last financial year, most notably in the buildup to the ITV1 documentary ‘Jason & Clara: In Memory of Maudie’. While we were not explicitly named in the documentary, we were credited at the end. The documentary was broadly covered by the UK media, by outlets including The Daily Mail, Yahoo, the i, and The Sun – with citation or links to UKST resources. Other press coverage included PR for the national walks (Sheffield Star); healthcare titles picking the Marie Curie hospice clinical tool collaboration (The Carer); Wales-focused sepsis awareness on BBC Wales Today, ITV Wales and BBC Radio Wales; World Sepsis Day features on BBC Radio Scotland; farming and national titles picking up the Charity Film Awards success for Hannah Brown’s farming awareness campaign video, as well as ITV and BBC regional news coverage of the farming awareness campaign. Want to share your Sepsis Voices story? Get in touch: voices@sepsistrust.org 12 ## VOLUNTEERS Teresa Whiting giving a talk as a volunteer in memory of her son, Ben The number of UKST Volunteers increased to 156, with 22 new recruits. Of this group, 56 are considered active – taking on a range of tasks on behalf of the charity, including delivering life-saving talks, collecting cheques and assisting with our support groups. UKST volunteers Here’s a glimpse into the varied activities of our amazing volunteers... Kim (pictured right) from Buckinghamshire became a quadruple amputee due to sepsis from a UTI developed on holiday in Spain. She shares her story across her incredible social media platforms, and gives potentially life-saving talks. Collectively, volunteers gave us 1,347 hours of their time between 1 April 2022 – 31 March 2023. They dedicated 138 hours to Fundraising; 350 hours to Support; 675 hours to Awareness; and 184 hours to Clinical activities. Volunteer programme 2023 and beyond Our Volunteer Manager has redesigned the recruitment and onboarding process to give our Volunteers additional support and empower them to make a difference in their local communities in 2023 and beyond. This includes a suite of new resources, including a Volunteer Handbook. Taz (pictured left) from Oxfordshire had sepsis last year, and has been working hard to raise awareness and improve outcomes for survivors by taking part in patient studies, attending and speaking at nursing conferences. As standard, all new Volunteers will now receive an ID badge, t-shirt, and will be offered a suite of training to help ensure they are confident being the voices of the charity. Teresa from Essex (pictured at top of page) volunteers in loving memory of her son Ben, who tragically passed away from sepsis aged 20. She has given talks at conferences to raise awareness amongst army cadets and healthcare professionals, volunteered at our London #SepsisSavvy walk and also volunteers at our bereavement support groups. It is our hope to develop a University-specific volunteer programme in 2024, to help raise awareness about the dangers of sepsis among young people. 13 ## FUNDRAISING The London chapter of the Sepsis Savvy national walk pose for a photograph The UK Sepsis Trust continues to be registered with The Fundraising Regulator, the independent regulator of charitable fundraising in England, Wales and Northern Ireland. Their work ensures public protection, accountability, and excellence in fundraising now and into the future. ## Sepsis Savvy walks UKST launched its inaugural Sepsis Savvy walks on 25th and 26th March 2023. These sponsored walks took place in Wales, Scotland, Cornwall, Cumbria, Sheffield, Sutton Coldfield and London, raising an incredible £33,915 as of 31 March 2023 – with a commitment to match fund expected to be fulfilled in the first quarter of 2023-4. Scan to watch the Sepsis Savvy walks highlight video The walks were supported by fundraisers including Kamaldeep Sandhu, who has also played a pivotal role in educating her Microsoft colleagues about the dangers of sepsis, in memory of her brother Rick Singh Flora, who was 41 when he died of sepsis in 2022. She arranged a Lunch & Learn session for colleagues, and has also shared her brother’s Sepsis Voices story with us to help raise general awareness. Ongoing supporter Emma Chadburn led the Sheffield chapter of the walk, in memory of her son, Ezra, who died of sepsis at just 18 months three days after Christmas in December 2019 – building on the success of a ball she held in his memory in August 2022. The walks were also supported by other volunteers in memory of their loved ones. Facebook challenges and birthday fundraisers In 2022, UKST ran a number of in-house Facebook challenges. The 10K Steps in June 2022 challenge raised £29,157 (excluding Gift Aid), with participants encouraged to up their daily step count while raising valuable funds to help further our mission. The success of the challenge led to its replication in July 2023. The Crotchet Every Day in October Challenge raised £19,557; the thinking behind the challenge was to create an more accessible opportunity for supporters unable to take on physical challenges. The Run 60 Miles in February Challenge raised 14 £18,115 in 2023, with individuals encouraged to build on New Year’s fitness resolutions in support of our work. In addition to our own challenges, we raised £38,401 thanks to the generosity of 445 fundraisers who set up Birthday Fundraisers, or one-off fundraisers to raise awareness about sepsis or commemorate a loved one. **----- Start of picture text -----**
26-year-old farmer Hannah Brown
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individually in this report but you know who you are – thank you for helping us save lives. UKST receives no government funding so we really couldn’t do it without you! ## In Memory Gifts Supporters remembered their loved ones by hosting their own special events, creating tribute pages, and donating in memory on anniversaries and special days, which collectively raised £193,759, which was 242% of our target in this area. We were overwhelmed to receive a Major Gift of £25,000 in memory of one supporter’s mother. The gift was given in memory to further ensure our sustainability and enable us to achieve what we have set out in our strategy document. ## Gift In Wills We received three gifts, totalling £20,768 in 2022/23. We also received 31 pledges in total to leave Gifts in Wills from supporters. These generous donations will help ensure our life-saving work can continue for many years to come. Supporter challenges and third-party events We’re so grateful to everyone who chose to support UKST through fundraising initiatives or events this year. Here are just a few of the highlights: - Along with family and friends, Ayesha Heaton - cycled 1,700 miles in memory of her partner, Dan, raising more than £15,000. - Helen Dunning and friends tackled the Yorkshire 3 Peaks Challenge in memory of 26-year-old farmer, Hannah Brown, who became the face of our farming awareness campaign. - Our school supporters held their own fundraising events, with donated proceeds from events such as school fairs, wear red/yellow/ orange days and sponsored walks. Meoncross School supported UKST through annual events such as their Summer Fair and Cycle4Sepsis, all held in memory of Emilia, a pupil from their nursery and a staff member’s daughter who was just three when she tragically lost her life to sepsis. We greatly appreciate the efforts and commitment from all staff and pupils. ## Corporate Supporters We are always appreciative of local community organisations and businesses that raise funds and vital awareness amongst their members. David Lay Auction House continues to support UKST through their monthly auctions on behalf of long-serving employee Sharon Rideout, who lost her daughter Chloe to sepsis. Thank you to all the companies who made us their Charity of the Year or held special fundraising initiatives! We hope to continue working together in 2023-4. Find out how you can fundraise for us by visiting: sepsistrust.org/fundraising We are appreciative of fundraisers from hospitals, clinicians and those on the frontline treating sepsis. There are too many incredible supporters to name 15 ## UKST’S PLANS FOR THE FUTURE: 2023-4 continuously evaluating our Helpline service, Facebook peer support group, online and faceto-face support groups Our plans in 2023-4 include: - Expanding Awareness activity to include infection/antimicrobial resistance (AMR) Reducing the number of lives needlessly lost to sepsis and severe infection - Sharing our expertise and knowledge with others and develop partnerships that help us to provide the best possible support and information e.g. targeting at-risk groups We will do this by: - Increasing public awareness of sepsis and the signs to look for against a 2021 baseline, so that… 85% of adults in the UK have heard of sepsis (compared to 82% in 2021) and 75% of those would recommend going to A&E or calling the emergency line if they were with someone who might have sepsis (compared to 66% in 2021). - Increasing use of clinical tools and education materials, including among organisations other than hospitals e.g. first aid companies - Improving understanding of recovery through better data Improving understanding of sepsis through better data - Increasing engagement with a more diverse audience through social media advertising, creating a more diverse range of case studies, and commissioning content that addresses what sepsis looks like on Black/Brown skin We will do this by: - Using unique QR codes to track performance of literature - Building brand position as expert voice in clinical space through thought leadership, collaborations and new products - Using Google Analytics and other link tracking tools such as Linktr.ee to monitor performance of digital sepsis resources - Improving the diagnosis, treatment and outcomes of sepsis through influencing policy-makers, public health and clinical practitioners – engaging positively and proactively with stakeholders - Surveying corporate partner staff to establish awareness levels pre and post education sessions As an organisation we will also work hard to ensure that UKST staff are supported to help us save lives and improve patient outcomes by: Ensuring anyone affected by sepsis has access to quality information and support - Providing a professional development budget for each staff member to further their skills and allow them to engage with new media We will do this by: - Organising regular staff meetings to allow for idea sharing and cross team working and providing budget for travel for individual teams - Providing effective support to more people than in 2022/23, while increasing efficiency - Reaching new audiences with social media advertising - Giving each staff member a day off in their birthday week - Creating a new and impactful website that improves the support user journey - Delivering efficient and effective systems and governance to enable the charity to deliver its aims and objectives - Strengthening and developing our support services (including digital) based on evidence, need and impact findings – delivering and 16 ## FINANCE & GOVERNANCE ## Policies and objectives The organisation is a charitable company, registered with the Charities Commission on 10 October 2014 and incorporated on 8 August 2013. The charity is constituted under its Memorandum and Articles of Association dated 5 August 2013. The Articles of Association were updated on the 14 January 2020. At the start of the financial year, the Trustee Board consisted of Mark Stock (Chairman), Professor Helen Cheyne, Alan Gilmour, Richard Harris, Dr Hozefa Ebrahim, Nick Randle, Robert Watson, & Ms Tiffany Thorn. Richard Harris and Dr Hozefa Ebrahim resigned on 15th February 2023. Nick Randle left the Board post year end on the 21st June 2023. ## Finance 2022-23 proved challenging from a financial perspective as previous years. The current economic climate and unpredictable nature of our income generation has required us to ensure we continue with careful cost control whilst balancing this with investing where necessary to complete our strategic aims. Income was £1,555,530 which was marginally up on the previous year. Our community generated income continues to be a core element of our income generation (78%). We achieved a surplus of £266,570. Dr Darren Daniels, Founder and Joint CEO leads the organisation with Sarah Hamilton-Fairley, Joint CEO. ## Public benefit statement The Trustees confirm that they have had due regard for the Charity Commission Guidance on public benefit when reviewing the charity’s aims and objectives, planning future strategy and setting policy. The work of UKST is fundamental in reducing the number of unnecessary deaths every year from sepsis and supporting those who have been affected by the condition. ## Aims and activities In line with our objects, the charity’s main activities, which are all in relation to our purposes for public benefit, are: - Educating healthcare professionals, health commissioners, government organisations and the wider public to ‘think’ sepsis (and severe infection), recognise the condition swiftly, and ensure that it is treated as an emergency, whilst maintaining a responsible stance on the use of antimicrobials - Providing support to patients and their relatives, including those bereaved by sepsis, through the provision of accessible information and the development of support networks - Lobbying Government to ensure that the infrastructure to support hospitals and other healthcare organisations in delivering exemplary sepsis care is in place. Review of performance of our trading activity UKST wholly only trading subsidiary Sepsis Enterprises passes all its profits to UKST through gift aid. Transfer of profits from SEL through gift aid was £142,895. ## Structure, Governance and Management Constitution The charity and the group are registered as a charitable company limited by guarantee which was set up by a Trust deed on 5 August 2013. The charity and the group are constituted under a Trust deed dated 5 August 2013 with a registered charity number 1158843 England and Wales and SC050277 for Scotland. Method of appointment or election of trustees Recruitment of Trustees has occurred as a result of direct interest in the charity. Trustees have been chosen through an analysis of skills to enable the progress of the charity’s objects. Trustees induction has occurred through direction from the Charity Commission guidance. Formal induction processes are in place. These are reviewed on a regular basis. ## Risk management The Trustees have assessed the major risks to which the charity and the group is exposed, in particular those related to the operations and finances and are satisfied that systems and procedures are in place to mitigate our exposure to the major risks identified. 17 ## Remuneration and conflicts of interest During the year staff were awarded a cost of living pay increase of 3%. Details of our staff and pay levels are detailed within note 7 in the annual accounts. No trustees are renumerated for their role within the charity. They do receive out of pocket expenses which are detailed in note 18 of the accounts. ## Reserves policy The United Kingdom Sepsis Trust Limited is currently dependent on voluntary donations to sustain its activities to continue operating. This means if there were to be a shortfall in voluntary donations it would put the charity in jeopardy. If serious funding problems were to occur that threatened the existence of the Trust, the Trustees have agreed to keep a certain level of financial reserves to ensure that the core operations can continue for a period of six months. The current reserves policy represents six months of expenditure which will be monitored on a regular basis and varied accordingly. The budget for 23-24 plans to use some of the surplus funds on future projects, in particular developing our digital resources. give a true and fair view of the state of affairs of the charitable company and the group and of the incoming resources and application of resources, including the income and expenditure, of the charitable group for that period. In preparing these financial statements, the Trustees are required to: - select suitable accounting policies and then - apply them consistently; - observe the methods and principles in the - Charities SORP; - make judgements and accounting estimates - that are reasonable and prudent; - prepare the financial statements on the going - concern basis unless it is inappropriate to presume that the charitable group will continue in operation. The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the charitable company and the group’s transactions and disclose with reasonable accuracy at any time the financial position of the charitable group and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. ## Disclosure of information to auditors ## Going Concern After making appropriate enquiries, the Trustees have a reasonable expectation that the company has adequate resources to continue in operational existence for the foreseeable future. For this reason they continue to adopt the going concern basis in preparing the financial statements. Further details regarding the adoption of the going concern basis can be found in the Accounting Policies. Statement of Trustees’ report responsibilities The Trustees (who are also Directors of United Kingdom Sepsis Trust Limited for the purposes of company law) are responsible for preparing the Trustees’ report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires the Trustees to prepare financial statements for each financial year. Under company law the Trustees must not approve the financial statements unless they are satisfied that they Each of the persons who are Trustees at the time when this Trustees’ report is approved has confirmed that: - so far as that Trustee is aware, there is no relevant audit information of which the charitable group’s auditors are unaware, and - the Trustee has taken all the steps that ought to have been taken as a Trustee in order to be aware of any relevant audit information and to establish that the charitable group’s auditors are aware of that information. ## Auditor The auditors, BK Plus Audit Limited were appointed in year and have indicated willingness to continue for 2023-24. We would like to thank Azets Audit services for their previous support. The Designated Trustees will review and propose a motion re-appointing the auditors at a meeting of the Trustees. The Trustees’ report was approved by the Trustees and signed on their behalf by: Date: 18.10.23 18 ## FINANCIAL REPORTS ## LEGAL AND ADMINISTRATIVE INFORMATION **Trustees** Professor H Cheyne Mr A Gilmour Mr R J Harris (Resigned 15th Feb 2023) Dr E Hozefa (Resigned 15th Feb 2023) Mr N Randle (Resigned 21st June 2023) Mr M Stock Ms T Thorne Dr R Watson **Charity number** 1158843 (England & Wales) SC050277 (Scotland) **Company number** 08644039 ## **Registered Office** Azzuri House Walsall Business Park Walsall Road Walsall WS9 ORB ## **Auditor** BK Plus Audit Limited Walsall Business Park Walsall Road Walsall WS9 ORB 19 ## INDEPENDENT AUDITOR’S REPORT ## Opinion We have audited the financial statements of United Kingdom Sepsis Trust Limited (the ‘parent charity’) and its subsidiaries for the year ended 31 March 2023 which comprise of the consolidated Statement of Financial Activities, the consolidated and parent Balance Sheet, the consolidated Statement of Cash Flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). In our opinion the financial statements: - give a true and fair view of the state of state of the group’s and parent charitable affairs as at 31 March 2023 and of its profit for the year then ended; - have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and - have been prepared in accordance with the requirements of the Companies Act 2006. tees with respect to going concern are described in the relevant sections of this report. ## Other information The other information comprises the information included in the annual report other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. ## Basis for opinion We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the group and parent charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. ## Conclusions relating to going concern In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the trus- We have nothing to report in this regard. Opinions on other matters prescribed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of our audit: - the information given in the strategic report and the trustees’ report for the financial year for which the financial statements are prepared is consistent with the financial statements; and - the strategic report and the trustees’ report have been prepared in accordance with applicable legal requirements. Matters on which we are required to report by exception In the light of the knowledge and understanding of the group and parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the strategic report or the trustees’ report. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion: - adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or - the financial statements are not in agreement with the accounting records and returns; or - certain disclosures of key personnel remuneration - 20 ## specified by law are not made; or - we have not received all the information and explanations we require for our audit. ## Responsibilities of trustees As explained more fully in the trustees’ responsibilities statement, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the trustees are responsible for assessing the groups and parent charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the or to cease operations, or have no realistic alternative but to do so. ## Auditor’s responsibilities for the audit of the financial statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. Irregularities, including fraud, are instances of noncompliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud, is detailed below. governance around actual and potential litigation and claims; - Reviewing minutes of meetings of those charged with governance, if available; · - Reviewing financial statement disclosures and testing to supporting documentation to assess compliance with applicable laws and regulations; - - Auditing the risk of management override of controls, including through testing journal entries and other adjustments for appropriateness, and evaluating the business rationale for significant transactions outside the normal course of business. · A further description of our responsibilities is available on the Financial Reporting Council’s website at: https:// www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report. ## Use of our report This report is made solely to the company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the company and the company’s members as a body, for our audit work, for this report, or for the opinions we have formed. Christopher Hession C.A. (Senior Statutory Auditor) For and on behalf of BK Plus Audit Limited 18.10.23 From the preliminary of the audit, we ensure our understanding of the entity is up to date. This includes, but is not limited to, current knowledge of their activities, the business and control environments, and their compliance with the applicable legal and regulatory frameworks. This information supports our risk identification and the subsequent design of audit procedures to mitigate those risks; ensuring that the audit evidence obtained is sufficient and appropriate to support our opinion. In response to the risks identified, specific to this entity, we designed procedures which included, but were not limited to: - Enquiry of management and those charged with 21 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNT) Unrestricted Restrl¢ted nds funds 2023 Totsl Unrestricted Restrlcted funds funds 2022 Total In¢ome from: Donations & Legacies Charitable Act￿￿e5 Total Income 1,319,405 117,669 1.437.074 1.424,073 1.424.073 118,456 1,437,861 118,456 117,669 1.555,530 117,019 1,541,092 117.019 1,541.092 Expenditure on.. Raising funds Charitable actiwties Total Expendrture 96,273 1 161 124 1257,397 96,273 31563 1 192687 31,563 1.288,960 64,218 963716 1,027,934 64,218 40 000 1003 716 40,000 1,067.934 Other Income: Corporation Tax R&D rèclaim Net Income for the year and net movement in funds 180,463 86,106 266,570 513,158 140,(H)01 473,158 Total funds tx)ught foNard Total funds carried forward 1,480,392 1,480,392 967,234 40,000 1,(K)7,234 1,660,855 86,106 1.746,961 1.480,392 1,480.392 22 UNITED KINGDOM SEPSIS TRUSTLIMTED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 CONSOLIDATED BALANCE SHEET AS AT 31 MARCH 2023 2023 2022 Noto5 Fixed assets Tangible assets 6,198 2F19 Cuiient assets Debtors Cash at bank and In hand 12 95.39J 1 ,757.577 85,332 1547,456 1 F52.927 1 fj32,788 Crethtots: aMo￿ts fallng due wlhin one yeai 13 1112,1641 1155,0151 Net current assets 1,740.783 1 ,477,773 Net a5sels 1.746861 1 ,480392 Chartty funds Restrided funds Unrestrided fiJnds 14 14 .106 1.6￿,855 1 ,4&0592 Total fun(k 1,746,961 14BD592 These financial statements have been prepared in accordance with the provisions applicable to corrpanies subjed to the small companies regime. Thè financial stateménts were appro¥ed by thé Trusteès and authoris8d for issue on 18tIW23. and are signÈd on its on its behalf by. Mr M Stock Tmst8e Compary Registration No. 0￿44039 The notes on pages 26 to 37 form part of these financial statements. 23 UNITED KINGDOM SEPSIS TRUSTLIMTED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 CHAFITY BALANCE SH AS AT 31 MARCH 2023 2023 2022 Not8S Fixed assets Tangible assets Invest￿￿￿18 6,198 2F19 10 6,199 2520 Current assets Debtors Cash at bank 8nd in h8nd 12.1 225,976 1586,469 265,t03 1,2&7,￿6 1012,445 1552,3]9 Creditot5= amounts fallry due vlithin one year 13.1 (75,0751 1770291 Net curr￿1 assets 1.737,370 1,474380 Net assets 1743,569 1.4nPOO Charity funds Restricted funds Unrestrided funds ,106 1.657.463 1.477DOO Total Fun 1.743.569 1.477DOO The cornp8nJls finanaal stslements have been prepared in accord8nce with the provisions applic8ble to companies subject to the small companies regime. The financial statements ￿re approved bythe board of directors and aulhortsed for issue on 18n OQ3 and are signed on ils behalf by.. Mr M Slock Trustee Compary Registration No. 0￿4411139 24 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 The notes on pages 26 to 37 form part of thesè financial statements. CONSOLIDATED STATEMENT OF CASH FLOWS 2023 2022 Note5 Cash flows from operating activities Cash generated from orerations 22 216,681 375,169 Investing activrf(ies Purchase of tsngiblè fixed assets 16,5601 12.2351 Net cash used in investing activitie5 16,5601 12,2351 Net In¢rease In cash and cash equlvalents 210,121 372.934 Cash and cash equrrfalents at beginning of year 1,541,456 1.174.522 Cash and eash equivalents at end of year 1,757,577 1,547,456 The notes on pages 26 to 37 form part of these financial ststements. 25 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS A¢¢ountiDg poli¢ie$ Charity information United Kingdom Sepsis Trust Limited is a company limited by guarantee incorporated In England and Wales. The registered offiee is P2zurri House, Walsall Business Parf(, Aldridge, Walsall, West Midlands, WS9 ORB. 1.1 Accounting convention The fin8nci81 st8tements have ken prepared in accordance wth the charitvs govèrning document, the Companies Act 2006 and 'Aceounting and Rewrting by Charibes Statement of Recommended Practice ap￿ICable to charities preparing thèir accounts in 8ccordance Imth the Financial Rewrting Standard applic8ble in the UK and Republic of Ireland IFRS 1021" las amended for accounting periods commencing from 1 January 20161. The is a Public Benefrt Entity as defined by FRS 102. The financial statement5 are prepared In Sterting. which is the functional currency of the group and chanty. Monetary amounts In these financial statement5 are rounded to the nearest£. The financial statements consolidate the accounts of United King(bm SeF6iS Trust Limited and all of its subsidiary undertakings I'subsidiaries'l. No separate Statement of financi81 actrrfities has ￿en presented for the company as permitted by section 408 01 the Companies Act 20(￿. The company has taken advanta￿ of the exernption contained wthin section 408 of the Companie5 Act 2006 notto presert ts own Incom8 and exFendrftut8 account. 12 Going concem At the time of approving the financial slalements, the trustees have a reasonable expectation that the group has acÈqLJate resources to continLJe in operational existence for trE foreseeable future Thus the Iruslees continue to aoknpl the goiru corLern basis ol the accounting in weparing the financial statements. 13 Charitable Funds Restricted Funds These are funds that can only ik used lor particular restricted wrFk)ses. Restrictions arise when specified by the donor or whèn fLJnds are raised for a particular restricted purpose Unrestricted Funds These are funds which can te usecl in accordance with the charitable objects at the discretion of the trustees 1A Incoming resource5 Income Is ￿cOgnised when the charity is legally entitled to it after any rerfomance conditions have been met, the amounts can be rneasured reliably, and it is probable that income wll be ￿te1ved. Cash donations 8re recognised on receipt. Other donations are recognised once the charity h8s been notified of the donation, unless performance conditions require d&feiral of the amount Incorne tax recoverable In relation to donations received under Gift Aid or deeds of coven&nt is recognised at the time of the donation. Legacies are recognised on re¢eipt or othernrise if the charity has been notified of an impending distribution, the amount is known, and receipt Is expected. 11 the amount is not known, the legacy Is t￿ated as a contingent asset 26 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI 1A Expendlture Expenditure Is recwnised once there ss a legal or constructive obligation to translereconomic benefit to a third party. it 15 probable that a transfgl of economic benerrts will be required in settlement. and the amount of the obligation can be mea5Ut8d reliably Expenditure Is clas51118d by activity The COSt5 of each actwity are made up of the total of direct costs and 5haied e05ts. Including support costs involved In undertaking each activity. Shared costs which contnbute to more than one activity and support costs which a￿ not attiibutable to a single activity ale apportioned between those acb"wties on a basis consistent with the use of resourc85 Central stsff costs are allocated on the basis of time st￿nt, and depreciation charge5 allocated on the portion ofthe asset'5 Use. Fundraising costs are those Incurred In seeking voluntary contributions and do not include costs of disseminating information in support of the charitable actsvities. Costs of generating funds are costs incurred in attracting voluntary income. and those incurred in trading activities that raise funds. Charitable attr￿ltieS and Governance costs are costs incU￿ed on the company's oper8tions, including SUPFOrt costs and Gosts relating to the governance of the Company aprDrtioned to charitstAe acb'vities. 1.6 Tangible fixed assets Tangible fixed assets are initially measured at cost and subsequently measured at cost. net of depieciation and any Impairment losses. All assèts costing more than £500 are capitalised. Depreciation is recognised so as to write off the cost of assets less their residual values over their useful lives on tt)e followng bases.. Office equipment 3 years straight line basis Th• gain or loss arising on the disposal of an asset is detèrmin8(l as thè diffor•nc• L*twsen thè salè proco$ds and the carrying value of the a55et and is iecognised in net Incomellexpenditur81 for the year 1.7 Impaimient of fixed assets At e8eh rew)rting end date, the directors rewew the carrying amounts of its tsngible assets to determine whetherthere is any indication thatthosè assets h8ve suffered an impairment loss If any such indication Èxists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss lif any). 1.8 Cash at bank and cash *quivalents Cash at bank and cash equivalents are basi¢ financial assets and include cash in hand. 27 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI 1.9 Financial Instruments The charity has elected to apply the prov6ions of Section 11 '6asic Financial Instwments. and Section 12 'other Financial In5tiurnent515sue5' of FRS 102 to all of its financial In5tturnent5. Financial Instruments are recognised in the charitvs balance sheet when the becomes paty to the contractual prowsions of the Instrument Financial assets and liabilities are offset, with the net amounts presented In the financial statements, when the￿ Is a legally enforceable nght to set off the tecognised amounts and there Is an Intention to settle on a net basis 01 to rea1158 the asset and 58tt1e the liability 5imultaneous1y. Basic financial assets Basic financial assets, which include debtors and cash and bank balances, are initially meaSU￿d at transaction price including tr8ns8Ction costs and are subsequently carried 8t amortised cost using the effective Inte￿$t metho(J unless the arrangement constitutes a financing transaction, where the transaction is measu￿￿ at the present value of the futu￿ receipts discounted at a marf(et rate of Interest. Financial assets classified as receivable within one yèar are not amorbsed Basle Flnanelal Llabllltles Basic financial liabilities, including creditors arè initially recognised at transaction priTr unless the arrangement constitutes a financing transaction, where the debt Instwment is MeaSu￿d at the wesent value of the future payments discounted at a market rate of interest. Financial li8bilities classified as payable within one year are not amortised. Trade creditors are obligations to pay for goods or services that have been acquiied in the ordinary COUTse of operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. If not. they are presented as nonrfurrent liabilities. Dere¢ognltlon of flnan¢Sal Ilablllles Financial liabilities are dereccunised when the chanty's contiactual obligations expire or are discharged 01 cancelled 1.10 Employee Benefrts The cost of any unused holiday entitlement Is ￿cOgnised in the period in which the employee's semces are received Termination benelrts ai8 recognised irnmediately a5 an expense when the 15 a demonstrable commitment to terminate the employment of an employee orto provide termination benefits. 1.11 Retirement Benerts Payment5 to defined contributs.on retirement benefit schemes are charged as an eX￿nSe as they fall duè. 1.12 Taxation The company 15 con51dered to pass the tests set out In Paragraph 1 Schedule 6 of the Finance Act 2010 and therefore It meets the definition of a charitable Company for UK corporation tsx purwses Accordingly. the company Is FX>tentially exempt from taxation In respect of Income or capitsl gains recep4ed wthin categorises covered by Chapter 3 Part 11 pf the corporab.on Tax Act 2010 or section 256 of Chargeable Gains Act 1992. to the extent that such Income or gains are applied exclusively to chartsble purposes. 1.13 Fund Accounting General funds are unrestricted funds which ale available for the use at the discretion of the Trustees in furtheranceto the general objectives ofthe company and which have not been designatedforother purpDse5. 28 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI Donations and Legacies Unrestricted Restricted funds Funds 2023 2023 Total Unrestricted Restricted funds Funds 2022 2022 Totsl 2023 2022 Donations & gift aid Grants, sales publications & resources 1,319,405 117,669 1,431,074 1,424,073 1,434,073 of 1319 405 117.669 1,437 074 1 424 073 1 424 073 Charrtable activities Charlty Charlty incoming resouKes 2023 incoming resour¢es 2022 Sales within charitable activities 118,456 117,019 Raising funds Total 2023 Total 2022 Fundraising events 96,273 64,218 All fundrdising events in 2023 and 2022 were unrestricted Anaty5i$ of expendiknre by type Unrestrl¢ted funds 2023 Restrl¢ted Funds 2023 Unrestrleted Restrleted funds Funds 2022 2022 Totsl Total 2023 2022 Costs ol raising funds Direct C05t5 96,273 1,161,124 96,273 1,192,687 64,218 936,716 64,218 1.003,716 31.563 40.0 1257 397 1288 960 1027 934 400 1 067 934 29 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) Auditorfs remuneration The Audito¢5 remuneration amounts to an Audit fee of £15.(YJO 12022 £15,000) and other accountancy semces of £NIl12022- £NIll Employees Number of employees The avèrage number of employees during the yearwas". 2023 2022 No. No Average number of employees 18 15 Employment ¢osts 2023 2022 Wag85 and salaries Social security costs Other pension costs 880,295 99,506 765.235 87,448 13,639 15,602 995,403 866.322 The number of employees whose 8rnploye8 benefts lexeluding employer pension costsl exceeding £60.000 W8S'. 2023 2022 In the band £60,￿1 to £70,000 In the band £70,￿1 to £80,000 In the band £80.￿1 to 90,000 In the b8nd £90.CO1 to [1￿,000 In the b8nd £100.001 to £110.000 In the band £110,001 to £120,000 In the band £120,001 to £130,000 30 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) Taxation The parent charity Is exempt from corporation tax and all of It's income Is charitable and Is applied for ch8ritable purposes The trading subsidiary. Sepsis Enterprises Limited. donates all tsxable profits to the parent charity. Tanglble fixed assets Offic EqLlpmonl Group Cost At 1 Apnl 2022 Additions 19,950 6.560 At 31 March 2023 26,510 Depreciation At 1 April 2022 Depreciation charged In the year 17,331 2,981 At 31 March 2023 20,312 Carrying amount At 31 March 2023 6,198 At 31 March 2022 2,619 31 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI 9.1 Tangible fixed assets l)ffi¢• Equlwnpnt Company C05t At l April 2022 Add(tion5 DisFosals 19.950 6,560 At 31 March 2023 26.510 Depreciation At l Apiil 2022 Depteciation charged in the year Eliminated in respe¢t of disrx)sals 17,331 2,981 At 31 March 2023 20.312 Carrwny amount At 31 Mareh 2023 6,198 At 31 March 2022 2,619 10 Fixed asset investments 2023 2022 Fixed Asset investments Movements In flxed asset Investments Shales In group undertakings Cost At 1 April 2022 & 31 March 2023 Carrying amount At 31 March 2023 At 31 March 2022 32 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) 11 Financial instruments group 2023 2022 Carrying amount of financial assets Debt instruments measured at amorbsed Cost 1,823,378 1,587,346 Carrying amount of financial liabiif(ies Measured at amortised c05t 87,109 129.865 11.1 Financial instruments company 2023 2022 Carrying amount of financial a55ets Debt instruments measure(J at amortise(J cost 1,782,897 1.506.766 Carrylng amount of finan¢lal IlabllitSes Measured at amortised cost 75,075 77.829 Financial assets Measured at arnort158d cost compnse cash at bank, trade debtors and arnount5 owed to companies. Financial liabilities measured at amortised cost comprise trade creditors, other creditors, other t8X8tion and social security and accruals. 12 Debtors Group Amounts falllng due within one year: Tr8de debtors Other debtors Prepayments 2023 2022 65,802 39.890 29,548 45,442 95,350 85.332 12.1 Debtors Company Amounts falling due within one year- Trade debtors Amounts owed Irorn Group Undertakings Other Debtors Piepayments 2023 2022 45,848 150,580 19,497 200.064 29,548 45.442 225,976 265.003 33 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI 13 Creditors.. amounts falling due within one year 2023 2022 Group Other tsxation and social security 39,875 25,673 3,193 18.368 37,362 Trade creditors Other ¢￿dItorS Accruals Deferred income 29,670 2,574 60.258 25,055 25.151 112.164 155,015 2023 2022 13.1 Company Othertsxation and social security Tr&d8 creditors 34,302 19,212 18,368 29.142 27,233 18,880 Accruals other cr&litors 3,193 2,574 75.075 77.829 14 Summary of funds- currentyear Balance at 1 April 202 Income Expendrture BalaTr¢e at 31 March 2023 General unrestricted funds 1,480,392 1,437,861 11,257,397) 1,660,855 Restricted Funds 117.669 131.5631 86.106 Totsl Fund5 1480 392 1.555 530 1 288.960 1 746 961 Restricted funds are those held for specffic purwses, as specified by the lunder, as (Jefined in the accounting policies. Restncted fund balances ￿￿te to two fun(Is from NFU Mutual1£61,Y251 for our farming campaign and1£24,8811 from Biomerieux for our clinical project pilot. 34 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) 14.1 Summary of funds- prior year Balance at 1 April 2021 Income Expendrture Balance at 31 March 2022 General unrestrictèd funds 967,234 1,541,092 11,027,934) 1,480,392 Restricted Funds 40,000 140.(YJOI Totsl Fund5 1,007,234 1.541.092 1 067.934 1.480 392 15 Analysis of net assets befv￿en funds Unrestncted Restricted funds Funds 2023 2023 un￿StrICted Restricted funds Funds 2022 2022 Total 2023 Total 2022 Fund B81ances Tangible Assets Current Assets Current 6.198 6.198 2.619 2,619 1,765.065 87.862 1,852.927 1,632,788 1,632,788 1110.4081 11.7561 1112,1641 1155,0151 1155,0151 1 660 855 86 106 1746961 1480 392 1 480 392 16 Deferred Income Group and Charlty 2023 2022 Deferred income bought forward Resources deferred during the year Amounts released from previous years 25,151 25,055 125,1511 33.442 25.151 133,4421 25,055 25,151 Deferred income Comprises ol course fees paid for in a(Jvance along Mllth Law partner contracts which complete In August 2023. 35 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS ICONTINUED) 17 Retirernent benefit 5cherne5 Defined ¢ontrlbution schemes The group operates a defined contribution pension scheme for all qualifying employees. The assets of the scheme are held separately from those of the group in an indewndÈntly The chargg to financial activities in reswct of defingd contributs.on schgmes was £15,06212022- £13.6391 The outstanding liability at year end wa5 £3,19312022- £2.5741. 18 Related party transaction5 The chanty has taken advantage of the exemptions under FRS 102 $33.1a, not to diselose transactions with wholly owned subsidiaries and companie5 in the 5arne gtoup wth 1(K)% ownet5hip. Magnetic HCA Lirnrted is related to Sarah Hamilton-Fairfey by virtue of a family relationship. During the year. the group engaged the provision of various IT and marketing seNices of Magnetic HCA Limited and was charged £11,273 12022. £23,800) for such 5etvice5. Due to the related party Saiah Hatnilton-FaiAey was excluded from any decision to engage w(th the supplier Exp8ns8s for Trustees in period were M Stock £NIl 12022 £461, A Gilmour £6012022. 601. N Randle £119 12022.. £2011, H Cheyne £24912022.'NIll, T Thom £5312022.. Nill Dunng the financial year, Sep515 Enterprises Limited rnade a donation of £142.89512022 £111.8961 to United Kingdom Sepsis frust 19 Controlling party The conttol of the charity rests w(th the truste85 and executsve team collectively. 36 UNITED KINGDOM SEPSIS TRUST LIMITED (A company limited by guarantee) FOR THE YEAR ENDED 31 MARCH 2023 NOTES TO THE FINANCIAL STATEMENTS ICONTINUED) 20 Subsidiari?5 D8tails of the chairtvs suLEidianes at 31 March 2023 are as follows. Name of undertaking Registered office Nafyre of business Class of % Held shares held Dire¢t Indire¢t Sepsis Enterprises Limited Azzurri House, Fundraising events Walsall Business Park. Aldridge, WS9 ORB Ordinary shares 100 During the year ended 31 Maich 2023 Sepsis Enterpnses Limrted reported income of £118,45612022 - £117,019) And expendrture of £118.45612022 - £117.0191 ExFEnditure Included a donation to UK Sep51s Trust of £142.895 12022-£111,8971 21 Cash generated from operations 2023 2022 Net in¢ome for the year las wr Ststement ol Financial ActIV￿.e$l 266,570 473.158 AdjustmÈnts for. Depreciation and Impairm8nt of tangible fixed assets 2,981 4,364 Movements In working capital.. (Inc￿aSe)1oeCrease In debtors Incre8sellDecreasel in creditors Incre85ellDecreasel in def&￿ed income 110,0181 142,7561 1961 150,9431 143,119) 18.2911 Cash generated from operations 216,681 375,169 37